| Organization Name: | PLAN DE SALUD DEL VALLE INC |
| NPI Number: | 1275530388 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN SANTISTEVAN (PRESIDENT/CEO) |
| Mailing Address: | 203 S Rollie Ave Fort Lupton |
| State: | CO US |
| Postal Code: | 806211508 |
| Phone Number: | 3038926401 |
| Fax Number: | 3038921511 |
| NPI Enumeration Date: | 07/05/2005 |
| NPI Last Update Date: | 04/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP0904X |
| License Number: | 0323 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Public Health, Federal |
| Taxonomy Definition: | |